Organization
TAMI PERNELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMI SUE PERNELL (LPN)
(937) 210-2725
Entity
Organization
Contact information
Practice address
168 E STATE ROUTE 296, URBANA, OH 43078-9325
(937) 210-2725
Mailing address
168 E STATE ROUTE 296, URBANA, OH 43078-9325
(937) 210-2725
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
128642
OH
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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